| NPI | 1376731208 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207LP2900X Anesthesiology, Pain Medicine (Licence: WA MD60306086) |
| Additional Taxonomies | 207LP2900X Anesthesiology, Pain Medicine (Licence: OR MD153969) |
| 207L00000X Anesthesiology (Licence: OR MD153969) | |
| 207LP2900X Anesthesiology, Pain Medicine (Licence: AK MED T 8395) | |
| Enumeration Date | 2007-10-04 |
| Last Update Date | 2014-10-08 |